2016 Schwartz Memorial Lecture - "Measuring and Improving Performance in Surgical Training"

“Measuring and Improving Performance in Surgical Training”

Gary Dunnington, MD, FACS
Jay L. Grosfeld Professor of Surgery, Indiana University School of Medicine

Measuring-and-Improving-Performance-Dunnington.ppt (Powerpoint Presentation)

Note: There was no direct line for recording Dr. Dunnington's lecture. His comments were captured using a remote digital recorder, so there is a diminished quality to the sound.
To navigate to a time signature in the Soundcloud embed, click and drag along the top (dark grey/black) section of the sound bar.

Time SignatureSubject Matter
0:00 - 2:41Introduction from Andrew Bernard, MD.
2:41 – 4:00Opening Remarks concerning Richard Schwartz, MD.
4:00 – 4:36About Indiana University School of Medicine.
4:36 – 6:00Residency Evaluation – Narrow Lecture Focus; Data concerning Surgical Residents.
6:31 – 8:20A review of identified issues in resident evaluation that prompted new research into autonomy training.
9:00 – 11:30Surgical Skills Labs – First conception and Rationale
12:00 – 16:00Surgical Skills Labs – Practical applications and “Make it Mandatory.”
16:00 – 23:30ACS/APDS Surgical Skills Project Phases – Boot Camp to Team Based Skills Development. Costs.
23:45 – 26:30Rating of Performance – Introduction and a brief history of Objective Structured Assessment of Technical Skills (OSAT) or Entrustable Professional Activities (EPAs).
26:30 – 29:30First Iterations of an Operative Performance Rating System; Lessons learned;Cueing and Fading
30:00 – 33:00Promoting Autonomy: The “Zwisch” Scale, Feedback from Chiefs,The Challenge of Graduated Autonomy.
33:00 – 36:20The BID Method and Teaching Model for “Avoiding the Takeover”
36:21 – 41:00The SIMPL App – Procedural Learning and Safety Collaborative (PLSC)
41:20 – 45:20SIMPL study  - Early Data
45:20 – 50:00Proficiency Based Operative Performance System – Conceptual vision of Surgical Education and concluding summary
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